Dampak dan Implikasi Tarif Indonesian Case Base Group (INA-CBGs) Terhadap Pasien Sectio Caesarea: Tinjauan Sistematis
Abstract
Penelitian ini bertujuan untuk mengkaji dampak tarif Indonesia Case Base Group (INA-CBG) terhadap pasien yang menjalani operasi caesar, serta mengidentifikasi hambatan dan solusi potensial untuk meningkatkan akses dan ketersediaan perawatan kesehatan di Indonesia. Melalui ulasan sistematis yang mencakup 6 studi terkait yang diterbitkan dalam 10 tahun terakhir, penelitian ini menemukan bahwa tarif INA-CBG mempengaruhi pasien secara signifikan. Tarif ini sering tidak mencerminkan biaya nyata yang dikeluarkan oleh profesional perawatan kesehatan, yang membebani penyedia dan pasien. Selain itu, kompleksitas dan variasi dalam prosedur operasi caesar tidak diperhitungkan dalam tarif tetap, potensial mengurangi tingkat perawatan yang disediakan. Skema pengembalian juga mendorong peningkatan operasi caesar yang tidak perlu, dengan dampak negatif pada kesehatan ibu dan pengeluaran kesehatan secara keseluruhan. Upaya perlu dilakukan untuk meninjau ulang struktur tarif, mempertimbangkan kompleksitas prosedur, dan mempromosikan pengambilan keputusan berdasarkan bukti. Hasilnya adalah peningkatan kesehatan ibu dan alokasi anggaran perawatan kesehatan yang lebih efektif. Studi tambahan diperlukan untuk memahami aspek lain dari implementasi INA-CBG di Indonesia dan konsekuensi jangka panjang dari intervensi ini.
Downloads
References
Betrán, A.P. et al. (2016) ‘The increasing trend in caesarean section rates: Global, regional and national estimates: 1990-2014’, PLoS ONE, 11(2), pp. 2014–2017. Available at: https://doi.org/10.1371/journal.pone.0148343.
Clarias, C., Sukoharsono, E.G. and Mulawarman, A.D. (2018) ‘The Implementation of INA-CBGs (Indonesia Case-Based Groups) System and Strategic Response in Institutional Theory Perspective (Case Research in RSUD Dr. Saiful Anwar Malang)’, Journal of Accounting and Business Education, 2(2), pp. 202–220. Available at: https://doi.org/10.26675/jabe.v2i2.11224.
Grimshaw, J.M. et al. (2021) ‘Pravila PRISMA 2020.’, Medicina Fluminensis, 57(4), pp. 444–465. Available at: https://doi.org/10.21860/medflum2021_264903.
Hadning, I. et al. (2020) ‘Cost Analysis of Indonesia Case Based Groups (INA-CBGs) Tariff for Stroke Patients’, Jurnal Manajemen dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 10(2), p. 137. Available at: https://doi.org/10.22146/jmpf.46720.
Happy, A. (2018) ‘The Implementation of INA-CBGs System Impact on Financial Performance of Public Hospital, the Indonesia Case: A Systematic Review’, KnE Life Sciences, 4(9), p. 1. Available at: https://doi.org/10.18502/kls.v4i9.3553.
Islam, A. et al. (2022) ‘Caesarean Section in Indonesia : Analysis of Trends and Socio-Demographic Caesarean Section in Indonesia : Analysis of Trends and Socio ‑ Demographic Correlates in Three Demographic and Health’, Dr. Sulaiman Al Habib Medical Journal [Preprint], (June). Available at: https://doi.org/10.1007/s44229-022-00011-0.
Ismiana, B.H., Budihastuti, U.R. and Sulaeman, E.S. (2019) ‘Determinants of the Difference between Actual Cost and Indonesian Case Based Groups (INA-CBGs) Reimbursement for Birth Delivery at Hospitals in Mataram, West Nusa Tenggara’, Journal of Health Policy and Management, 4(3), pp. 161–169. Available at: https://doi.org/10.26911/thejhpm.2019.04.03.03.
Kamioka, H. (2019) ‘Preferred reporting items for systematic review and meta-analysis protocols (prisma-p) 2015 statement’, Japanese Pharmacology and Therapeutics, 47(8), pp. 1177–1185.
Kismarahardja, J.S., Lorensia, A. and Suryadinata, R.V. (2021) ‘Analysis of differences in riil costs of hospital with INA-CBG’s rate in sectio caesarea’, Teikyo Medical Journal, 44(06), p. 2264.
Methley, A.M. et al. (2014) ‘PICO , PICOS and SPIDER : a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews’. Available at: https://doi.org/10.1186/s12913-014-0579-0.
Östlund, U. et al. (2011) ‘Combining qualitative and quantitative research within mixed method research designs: A methodological review’, International Journal of Nursing Studies, 48(3), pp. 369–383. Available at: https://doi.org/10.1016/j.ijnurstu.2010.10.005.
Panda, S., Begley, C. and Daly, D. (2018) ‘Erratum: Clinicians’ views of factors influencing decision-making for caesarean section: A systematic review and metasynthesis of qualitative, quantitative and mixed methods studies (PLoS ONE (2018) 13:7 (e0200941) DOI: 10.1371/journal.pone.0200941)’, PLoS ONE, 13(8), pp. 1–27. Available at: https://doi.org/10.1371/journal.pone.0202688.
Randel, A. (2019) ‘Interpregnancy care: Guidelines from ACOG and SMFM’, American Family Physician, 100(2), pp. 121–123.
Satibi, S. et al. (2019) ‘Comparison of real cost versus the Indonesian Case Base Groups (INA-CBGs) tariff rates among patients of high- incidence cancers under the national health insurance scheme’, Asian Pacific Journal of Cancer Prevention, 20(1), pp. 117–122. Available at: https://doi.org/10.31557/APJCP.2019.20.1.117.
Simanjuntak, M., Destanul Aulia and Zulfendri (2021) ‘The Analysis of Differences in Hospital Rill Rates and INA-CBG’s Rate on Sectio Caesare Action in RSU. Imelda Pekerja Indonesia Medan 2019’, Britain International of Exact Sciences (BIoEx) Journal, 3(2), pp. 121–130. Available at: https://doi.org/10.33258/bioex.v3i2.442.
Swandayana, P.G.W. and Sastrawan, S. (2021) ‘Analysis of the Difference between INA-CBG Rates and Hospital Rates for Outpatient and Inpatient Services at FKRTL Provider BPJS Kesehatan Mataram City’, Prisma Sains : Jurnal Pengkajian Ilmu dan Pembelajaran Matematika dan IPA IKIP Mataram, 9(2), p. 246. Available at: https://doi.org/10.33394/j-ps.v9i2.4350.
Wardhana, M.P. et al. (2020) ‘Ina-cbgs claim versus total hospital cost: A vaginal delivery investigation at airlangga university academic hospital, Indonesia’, Journal of Public Health Research, 9(4), pp. 538–543. Available at: https://doi.org/10.4081/jphr.2020.1999.
Copyright (c) 2023 Rova Martika, Amal Chalik Sjaaf
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
